Document Detail

Complications of hypertension in adult urban Liberians.
MedLine Citation:
PMID:  2338699     Owner:  NLM     Status:  MEDLINE    
A one-year prospective study of the complications of hypertension was carried out in the Medical Wards of the John F. Kennedy Hospital in Monrovia, Liberia. Of all medical admissions 15.6% (105 out of 672) were due to hypertension with its complications. Of the hypertensives, 72.4% (76 of 105) came from the lower socio-economic class. Heart disease with 55.2% (58 of 105) was the commonest complication. Next was stroke with 31.4% (33 of 105). Of the cases of heart disease, only one had suffered a myocardial infarction, the rest had congestive cardiac failure (CCF) without coronary heart disease. Severe hypertensive retinopathy was found in only four patients all of whom had severe uraemia. Hypertensive CCF constituted 41.1% (57 of 139) of all cases of CCF admitted to our hospital. All the complications and deaths were more common in males than in females and they were not uncommon in the young. Chronic renal failure, with 100% mortality, had the worst prognosis. 60.0% of the patients had not previously been diagnosed as hypertensive. There is an urgent need for health education in Liberia to inform the people of the dangers of uncontrolled hypertension and to encourage them to get their blood pressure measured periodically thus improving the early detection and initiation of antihypertensive treatment to prevent the complications of hypertension.
J Njoh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of human hypertension     Volume:  4     ISSN:  0950-9240     ISO Abbreviation:  J Hum Hypertens     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-06-21     Completed Date:  1990-06-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  88-90     Citation Subset:  IM    
Department of Medicine, John F. Kennedy Medical Centre, Monrovia, Liberia.
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MeSH Terms
African Continental Ancestry Group*
Aged, 80 and over
Cerebrovascular Disorders / etiology
Heart Diseases / etiology
Hypertension / complications*
Kidney Failure, Chronic / etiology
Middle Aged

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